Are the eating disorders related to obsessive compulsive disorder?

Hsu, Li-Yi; Kaye, Walter H.; Weltzin, Theodore E.

doi:10.1002/1098-108x(199311)14:3<305::aid-eat2260140309>3.0.co;2-l

Cited by 77 publications

(35 citation statements)

References 82 publications

(58 reference statements)

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Section: Nih-pa Author Manuscriptmentioning

confidence: 99%

“…Other researchers conceptualize impulsivity and compulsivity as two separate and distinct, but often co-existing, traits [121][122][123] . Supporting this conceptualization is the high comorbidity for obsessive-compulsive and impulse-control disorders 124,125 .Eating disorders are an example of this comorbidity, as patients with BN and binge eating disorders may exhibit both obsessive-compulsive and impulsive traits 121,[126][127][128][129] . However, findings regarding correlates of compulsivity and impulsivity in this population are mixed.…”

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confidence: 99%

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Pediatric Obesity: Parallels with Addiction and Treatment Recommendations

Acosta

Manubay²,

Levin³

2008

Harvard Review of Psychiatry

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Rates of pediatric obesity have increased dramatically over the past decade. This trend is particularly alarming as obesity is associated with significant medical and psychosocial consequences. Obesity may contribute to cardiovascular, metabolic, and hepatic complications, as well as psychiatric difficulties. The development of obesity appears to be influenced by a complex array of genetic, metabolic, and neural frameworks, as well as behavior, eating habits, and physical activity. Numerous parallels exist between obesity and addictive behaviors, including genetic predisposition, personality, environmental risk factors, and common neurobiological pathways in the brain. Typical treatments for pediatric obesity include behavioral interventions targeting diet and/or exercise. Treatments focusing on diet and exercise have yielded mixed results, and typically have been examined in specialty clinic populations, limiting their generalizability. There are limited medication options for overweight children and adolescents, and no approved medical intervention in children younger than 16. Bariatric surgery may be an option for some adolescents, but due to the risks of surgery it is often seen as a last resort. The parallels between addiction and obesity aid in the development of novel interventions for pediatric obesity. Motivational enhancement and cognitive-behavioral strategies used in addiction treatment may serve to be beneficial. KeywordsPediatric obesity; medical co-morbidity; addiction; treatment; review Pediatric obesity has reached epidemic proportions, with a 200-400% increase in the past 10 years [1][2][3] . Alarmingly, routine screening for obesity in children is very low (0.5% in a recent review of 600 pediatric cases), treatment is only provided to a fraction of children identified as overweight, and the most frequently used treatment (general advice) is known to be ineffective 4 . The current article will review some of the correlates of obesity, examine parallels with addictive behaviors, and review treatment recommendations.Due to concerns about stigma, the CDC recommends the term "overweight", rather than obese, when referring to youth 5 . Overweight is a condition where one has excess adipose tissue 6 . Body Mass Index (BMI) is the most accepted parameter for measuring total body fat. A BMI of > 85 th percentile indicates mild to moderate overweight, and a BMI > 95 th percentile indicates a need for intervention. Based on these criteria, more than 20% of US Medical and psychosocial consequences of overweight in children and adolescentsBeing overweight during childhood and adolescence is associated with a myriad of concurrent medical and psychosocial consequences, as well as placing children and teens at higher risk for medical comorbidity and mortality as adults. One of the most widely documented health consequences of overweight is a metabolic syndrome that includes insulin resistance, type 2 diabetes mellitus, polycystic ovary syndrome, dyslipidemia, and hypertension 13 . This syndrome has b...

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Section: Nih-pa Author Manuscriptmentioning

confidence: 99%

mentioning

confidence: 99%

Pediatric Obesity: Parallels with Addiction and Treatment Recommendations

Acosta

Manubay²,

Levin³

2008

Harvard Review of Psychiatry

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“…Obsessive-compulsive disorders have been associated in terms of phenomenological similarity with conditions such as trichotillomania, Tourette's syndrome, hypochondriasis, eating disorders, body dysmorphic disorder and others (6)(7)(8)(9)(10)(11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

Phenomenology of obsessive compulsive disorder in a Sri Lankan patient population

Kapugama

Silva

2014

Sri Lanka J. Psyc.

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“…Comorbidity correlated positively with the severity of the eating disorder. Studies such as these have led to the suggestion that both OCD and anorexia nervosa may have a common psychopathology (Hsu, Kaye, & Weltzin, 1993).…”

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confidence: 99%

Obsessive–Compulsive Contamination Fears and Anorexia Nervosa: The Application of the New Psycho-Educational Treatment of Danger Ideation Reduction Therapy (DIRT)

Drummond

Kolb

2008

Behav. change

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The case history of a woman with severe and enduring anorexia nervosa and obsessive–compulsive disorder (OCD) with contamination fears is presented. These contamination fears centred on her fear of contamination by fat and fatty substances as she worried about gaining weight. Previous treatment with graded exposure had shown no clinically significant benefits. She was admitted to a specialist unit for the treatment of OCD as an inpatient. Due to the previous failure of the recognised psychological treatments for OCD it was decided to use the new psychoeducational approach of danger ideation reduction therapy (DIRT). This treatment resulted in an improvement in her OCD symptoms despite the fact that the emphasis of the treatment was on the risk of bacteria and dirt. It is believed that this is the first documented case of DIRT being used for a patient with anorexia nervosa and OCD.

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Are the eating disorders related to obsessive compulsive disorder?

Cited by 77 publications

References 82 publications

Pediatric Obesity: Parallels with Addiction and Treatment Recommendations

Pediatric Obesity: Parallels with Addiction and Treatment Recommendations

Phenomenology of obsessive compulsive disorder in a Sri Lankan patient population

Obsessive–Compulsive Contamination Fears and Anorexia Nervosa: The Application of the New Psycho-Educational Treatment of Danger Ideation Reduction Therapy (DIRT)

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